Background: Central hip dislocation with associated acetabular fracture is a complex injury resulting from high-energy trauma, requiring prompt diagnosis and appropriate surgical management for optimal recovery.
Case Presentation: A 40-year-old male sustained a central dislocation of the right hip with an associated acetabular fracture following a bike-jeep collision. On presentation, he had severe right hip pain, limb shortening, and the hip was fixed in an abnormal position. Imaging confirmed a central hip dislocation and acetabular fracture.
Interventions: Emergency reduction of the hip was performed on arrival. Subsequent CT scan identified a T-type acetabular fracture (Judet and Letournel classification). Elective open reduction and internal fixation were performed using the extended Kocher-Langenbeck approach with fracture fixation using a reconstruction plate. Postoperatively, the patient was immobilized with a Thomas splint for two weeks followed by gradual mobilization over ten weeks.
Outcomes: At 1 year post-surgery, the patient achieved full functional recovery with no complications, no neurovascular deficits, and no signs of femoral head avascular necrosis.
International Journal of Case Reports in Orthopaedics
